Dementia-Friendly Environment and Practice Audit - Care Homes
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- Q1: Is there a dementia care strategy or framework guiding both environmental adaptations and care delivery?
- Q2: Are all staff trained in dementia awareness and person-centred approaches to communication and support?
- Q3: Are the home’s communal and private spaces adapted with dementia-friendly design features (e.g., contrast colours, clear signage, familiar objects)?
- Q4: Are lighting levels, noise, and layout regularly reviewed to reduce confusion or distress for people with dementia?
- Q5: Are corridors free of clutter and designed to support orientation and safe wandering?
- Q6: Are memory aids (e.g., personalised door signs, activity boards, memory boxes) used to support recognition and routine?
- Q7: Is the home environment stimulating without being overwhelming for residents with cognitive impairment?
- Q8: Are care plans person-centred and include life history, preferred routines, and known triggers or comfort strategies?
- Q9: Are staff trained to use validation, redirection, and non-verbal techniques in supporting residents with dementia?
- Q10: Are activity programmes adapted for cognitive stimulation, reminiscence, and sensory engagement?
- Q11: Are staff aware of how to respond appropriately to distressed behaviours without using sedation or restraint?
- Q12: Is there access to outdoor or garden space that is enclosed, safe, and designed with dementia users in mind?
- Q13: Are bedrooms personalised and familiar, supporting residents’ sense of identity and belonging?
- Q14: Are residents encouraged and supported to maintain independence in ADLs (activities of daily living)?
- Q15: Is there a consistent staffing approach to reduce anxiety and improve continuity for residents with dementia?
- Q16: Are staff trained to detect signs of pain, illness, or unmet need that may present as behavioural changes?
- Q17: Are noise levels (e.g., alarms, TVs, radios) managed to minimise overstimulation or confusion?
- Q18: Are dining experiences adapted with clear table settings, contrast plates, and support for pacing and choice?
- Q19: Is the use of antipsychotics monitored and reviewed in line with best practice and least-restrictive approaches?
- Q20: Are residents with dementia supported to engage with music, art, pets, or nature-based therapies?
- Q21: Are falls risk assessments adapted for residents with cognitive impairment?
- Q22: Are family members involved in developing care plans and routines for residents living with dementia?
- Q23: Are end-of-life care needs for residents with advanced dementia anticipated and addressed with dignity?
- Q24: Is the physical layout reviewed regularly for dementia accessibility (e.g., flooring contrast, exit visibility, handrails)?
- Q25: Is feedback from residents with dementia gathered using observational or sensory tools to understand experience?